S22

Fracture of rib(s), sternum and thoracic spine

Requires 7th character

S22 requires a 7th character to be reported. Choose a complete code below.

Inclusion terms

Includes

  • injuries of breast
  • injuries of chest (wall)
  • injuries of interscapular area
  • fracture of thoracic neural arch
  • fracture of thoracic spinous process
  • fracture of thoracic transverse process
  • fracture of thoracic vertebra
  • fracture of thoracic vertebral arch
  • Note: Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
  • Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • Note: A fracture not indicated as open or closed should be coded to closed

Excludes1

Not coded here — never report together with this code.

  • transection of thorax (S28.1)

Excludes2

Not included here — may be reported together when both conditions exist.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
  • burns and corrosions (T20-T32)
  • effects of foreign body in bronchus (T17.5)
  • effects of foreign body in esophagus (T18.1)
  • effects of foreign body in lung (T17.8)
  • effects of foreign body in trachea (T17.4)
  • frostbite (T33-T34)
  • injuries of axilla
  • injuries of clavicle
  • injuries of scapular region
  • injuries of shoulder
  • insect bite or sting, venomous (T63.4)
  • fracture of clavicle (S42.0-)
  • fracture of scapula (S42.1-)

Code first

Sequence the underlying condition first.

  • , if applicable, spinal cord injury (S24.0-, S24.1-)

Use additional code

Add a code to identify the following, if applicable.

  • code to identify any retained foreign body, if applicable (Z18.-)

Code also

An additional code may be needed.

  • , if applicable, any associated condition such as:
  • injury of intrathoracic organ (S27.-)
  • traumatic hemopneumothorax (S27.2)
  • traumatic hemothorax (S27.1-)
  • traumatic pneumothorax (S27.0)

7th character

This code requires a 7th character. Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Ssequela

More specific codes S22

  • S22.0Fracture of thoracic vertebraNeeds 7th char
  • S22.2Fracture of sternumNeeds 7th char
  • S22.3Fracture of one ribNeeds 7th char
  • S22.4Multiple fractures of ribsNeeds 7th char
  • S22.5Flail chestNeeds 7th char
  • S22.9Fracture of bony thorax, part unspecifiedNeeds 7th char

Related codes

  • S20Superficial injury of thoraxNeeds 7th char
  • S21Open wound of thoraxNeeds 7th char
  • S23Dislocation and sprain of joints and ligaments of thoraxNeeds 7th char
  • S24Injury of nerves and spinal cord at thorax levelNeeds 7th char
  • S25Injury of blood vessels of thoraxNeeds 7th char
  • S26Injury of heartNeeds 7th char
  • S27Injury of other and unspecified intrathoracic organsNeeds 7th char
  • S28Crushing injury of thorax, and traumatic amputation of part of thoraxNeeds 7th char
  • S29Other and unspecified injuries of thoraxNeeds 7th char

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